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MedicaidCoverageMedium impact

Screening for Perinatal Depression

Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, Pediatrics +1 more·Provider Notice
Effective date
Dec 1, 2004
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois Medicaid now provides reimbursement for perinatal depression screening using validated tools like the Edinburgh Postnatal Depression Scale. Providers can bill $14.60 for screening pregnant and postpartum women using specific procedure codes during prenatal, postpartum, or infant visits.

Action Required

Action needed
By December 1, 2004: Illinois providers should update billing systems to include procedure codes H1000 for prenatal depression screening and 99420 with modifier HD for postpartum screening. Train staff on approved screening tools (EPDS, Beck Depression Inventory, Primary Care Evaluation PHQ). Maintain screening results in separate files and contact DPA for approval before using non-listed screening instruments.

Affected Billing Codes

H1000
99420